title: Single-balloon enteroscopy: a single-center experience of 48 procedures.
abstract: The aim of this study was to report the analysis of a single-center experience with single-balloon enteroscopy (SBE). A retrospective analysis of patients with small-bowel disorder who underwent SBE procedure from February 2011 to February 2013 was carried out. A total of 40 patients underwent 48 SBE procedures. Antegrade and retrograde approaches were used in 68.8 % and 31.2 % of subjects, respectively. The main indications were obscure gastrointestinal bleeding (n = 28), chronic diarrhea (n = 6), and chronic abdominal pain (n = 6). Average (SD) insertion length by antegrade approach was 150.6 (31.4) cm (range 90-210 cm) beyond the duodenojejunal flexure and by retrograde approach was 106.6 (29.4) cm (range 40-140 cm) proximal to the ileocecal junction. Average procedure time for antegrade approach was 46.3 (9.0) min (range 25-60 min) and for retrograde approach was 61.3 (12.8) min (range 45-90 min). Panendoscopy was not possible in any of the eight patients in whom antegrade and retrograde approaches were performed. Overall diagnostic yield was 55 % and therapeutic procedures were done in 20 % of patients. There were no significant complications. SBE is a safe and effective method to diagnose patients with small-bowel disease and provides a useful tool for intervention.
authors.affiliation: Department of Gastroenterology, Jagjivanram Hospital, Behind Maratha Mandir, Mumbai, 400 008, India.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Baijal
authors.forename: Praveen
authors.initials: P
authors.lastname: Kumar
authors.forename: Deepakkumar Trilokinath
authors.initials: DT
authors.lastname: Gupta
authors.forename: Nimish
authors.initials: N
authors.lastname: Shah
authors.forename: Sandeep
authors.initials: S
authors.lastname: Kulkarni
authors.forename: Soham
authors.initials: S
authors.lastname: Doshi
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003967:Diarrhea / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology*; D007421:Intestine, Small / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult